Market-Modelled Home Care in Ontario: Deteriorating Working Conditions and Dwindling Community Capacity

Jane Aronson, Margaret Denton and Isik Zeytinoglu

Canadian Public Policy, 2004, vol. 30, issue 1, 111-125

Abstract: The closure of a non-profit, unionized home support agency in Hamilton in 2002 offers an illuminating case study of the local impacts of Ontario's contractual approach to home care. A survey of the 317 support workers who were laid off revealed that only 38 percent stayed in the home-care sector; most were absorbed by for-profit, non-unionized agencies where their employment conditions deteriorated. These findings are at odds with the long-established connection between quality of home-care employment and quality of home-care service. They have implications for developing criteria for dispersing public funds in mixed economies of community care, and for conceptualizing the capacity-building responsibilities of governments in their coordination.

Date: 2004
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Citations: View citations in EconPapers (9)

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